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Organization
MONTEREY PENINSULA URGENT CARE MEDICAL GROUP INC
Active
Organization
MONTEREY PENINSULA URGENT CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY STANLEY-COHAN (ADMINISTRATOR)
(831) 372-2273
Entity
Organization
Contact information
Practice address
245 WASHINGTON ST, MONTEREY, CA 93940-2409
(831) 372-2273
(831) 372-5840
Mailing address
245 WASHINGTON ST, MONTEREY, CA 93940-2409
(831) 372-2273
(831) 372-5840
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00361660
BC/BS
CA
01
—
00C361660
CHAMPUS
CA
01
—
00C433710
BC/BS
CA
01
—
00G588151
BC/BS
CA
01
—
77047127
TAX ID
CA
01
—
C36166
STATE LICENSE
CA
01
—
C43371
STATE LICENSE
CA
01
—
G58815
STATE LICENSE
CA
Enumeration date
12/19/2005
Last updated
07/21/2022
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